HomeMy WebLinkAboutBLD19912 Woodstove - BLD Permit / Conditions - 3/3/1987 TYPE WOODSTOVE
Permit No. 19912 No. Floors Sq Ftg _
Owner OKONEK, James T01 426-4948 Date 3-3-87
Address E 371 Cranberry Creek Rd Shelton Zip
Contractor John Kimmel
Address Shelton Zip
Legal Description 36-21-3 Tr 12 NE,NW
Direction to project site Behind Deer Creek Rd store
PluTbing Mechanical Seer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
Shorelines: Plumbing:
Setback: Mechanic
Special Interior:
Conditions: FILL:
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove: z �g'
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED`'/ `�-ell�
PERMIT NO. 991'2
AME MAILADDRESS CITY BSTATE ZIP PHONE
J
OWNER od Ej -)F 3 r/ C h/l� /CA e DIRECT
TO OBIONS SIITE /Ye J��� O/LEGAL
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DESCR. ��-
NAME MAIL ADDRESS ITY&STATE LICENSE NO. ZIP
CONTRACTOR
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE `•p / 1 �/
WORK /N ST6-/�Z—
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNER AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIF THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST TION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUI MENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN C FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
BT ING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
WNER W 14' TE .5-.2—LZ XBY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
F77
CCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
IBY CASH CK MID TOTAL